DR. MICHAEL JIN KIM (NPI# 1609289636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609289636 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JIN KIM |
| Credential | M.D. |
| Practice Address |
180 S 3rd St Ste 300 Belleville IL 62220-1952 |
| Practice Telephone | 6182567311 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 036143899 | IL | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 036.143899 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346627742 | Michael Kim | Acupuncturist | 22337 65th Ave, 1st Floor, Oakland Gardens, NY 11364-2313 | 2015-05-05 |
| 1174945273 | Michael Jong-gyu Kim | Dentist | 27382 Calle Arroyo, San Juan Capistrano, CA 92675-2746 | 2014-01-09 |
| 1639441934 | Michael Tonkyu Kim | Dentist | 2880 Old Dixwell Ave., Hamden, CT 06518 | 2012-02-01 |
| 1336476373 | Michael Hwangsuk Kim | Dentist | 12865 Main St, #201, Garden Grove, CA 92840-8205 | 2009-11-12 |
| 1861658486 | Michael Kim | Anesthesiology | 3757 Camino Cermenon, Yorba Linda, CA 92886-6213 | 2008-08-03 |
| 1609076512 | Michael K Kim | Chiropractor | 8748 Garden Grove Blvd, Garden Grove, CA 92844-1251 | 2007-07-19 |
| 1164546313 | Michael Sukkyu Kim | Optometrist | 1000 Seward Meridian Highway, Wasilla, AK 99654 | 2007-03-16 |
| 1689720468 | Michael M Kim | Otolaryngology | 2525 Nw Lovejoy St Ste 402, Portland, OR 97210-2865 | 2007-01-26 |
| 1093870198 | Michael S. Kim | Dentist | 2800 W Warner Ave, Suite G, Santa Ana, CA 92704-5466 | 2006-12-27 |
| 1295810554 | Michael Ethan Kim | Dentist | 5322 Francis Lewis Blvd, 2nd Floor, Oakland Gardens, NY 11364-1633 | 2006-10-26 |
| Street Address |
180 S 3RD ST STE 300 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437243581 | Molly Jo Nelsen | Family Medicine | 180 S 3rd St Ste 300, Belleville, IL 62220-1952 | 2006-10-03 |
| 1952830036 | Stanley Jay Noll | Family Medicine | 180 S 3rd St Ste 300, Belleville, IL 62220-1952 | 2017-06-12 |
| 1083142152 | Vincent Joseph Duenas | Family Medicine | 180 S 3rd St Ste 300, Belleville, IL 62220-1952 | 2017-06-01 |
| 1467992636 | Thomas Schelby | Family Medicine | 180 S 3rd St Ste 300, Belleville, IL 62220-1952 | 2017-03-07 |
| 1336586650 | Alex Robert Labounty | Family Medicine | 180 S 3rd St Ste 300, Belleville, IL 62220-1952 | 2013-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591173 | Dimi Dawn Resch | Family Medicine | 373 Roanoke Dr, Belleville, IL 62221-5723 | 2019-11-05 |
| 1013559749 | Christine Evansco | Family Medicine | 105 S 35th St, Belleville, IL 62226-6314 | 2019-10-15 |
| 1851800288 | Republic County Family Clinic, P.a. | Family Medicine | 2337 G St Ste 2, Belleville, KS 66935-2462 | 2017-09-28 |
| 1154854008 | Kurtis William Klecan | Family Medicine | 2337 G St Ste 100, Belleville, KS 66935-2462 | 2017-04-07 |
| 1144753096 | Ace Medical Services LLC | Family Medicine | 929 Ridgecrest Dr, Belleville, IL 62220-3163 | 2017-04-07 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1871993139 | Wayne Bresee Cox II | Family Medicine | 10 Celeste Ct, Belleville, IL 62223-1907 | 2014-08-23 |
| 1811252547 | Jianming Alexander Lau | Family Medicine | 201 3rd St 200, Belleville, MI 48111-2605 | 2012-07-09 |
| 1548531320 | Donald H Buser | Family Medicine | 116 S Fairway Dr, Belleville, IL 62223-2228 | 2012-01-25 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.